Individual
MAUREEN NOWACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 706-5533
(612) 706-5509
Mailing address
14850 UNIVERSITY AVE NW, ANDOVER, MN 55304-6023
(763) 228-2470
(763) 438-0333
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R129516-0
MN
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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